BILLING SPECIALIST AGENT at Salience Health

Plano, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Sep, 26

Salary

0.0

Posted On

05 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Claims Submission, Payment Processing, Account Reconciliation, Medical Billing, HIPAA Compliance, EMR Systems, Insurance Verification, Medical Coding, Accounts Receivable, Customer Service, Problem Solving, Time Management

Industry

Medical Practices

Description

Description Summary/Objective: The Billing Specialist Agent is responsible for managing the financial aspects of patient care, including insurance claims, patient billing, payment processing and claims submission. The Billing Specialist Agent will ensure accurate and timely billing, follow up on unpaid claims and outstanding patient balances. Responsibilities/Duties: - Preparing and submitting claims to insurance companies - Receive and process payments from insurance companies and patients including posting payments and reconciling accounts - Investigating and resolving denied or unpaid claims and resubmitting claims when necessary - Answering patient billing questions, explaining invoices and assisting with payment plans - Utilize the EMR systems and billing systems to manage patient information, insurance denials and billing records - Be in compliance with HIPAA regulations and billing laws and guidelines - Document and maintain records on each open claim. - Perform necessary follow-up to ensure proper payment is received. - Identify and resolve billing issues. - Follow-up on report status of past insurance and patient accounts - Perform various collection actions including contacting patient by phone, correcting and resubmitting claims. - Work daily insurance correspondence as needed. - Answer questions from patients, co-workers, and insurance companies. - Work Hold Buckets - Any other duties as assigned. Job Specifications: - Must be able to provide professional, responsive, and positive customer service. - Must be able to verify insurance eligibility for Psychiatry, Neurology and Primary Care Providers. - Ability to sit for long periods of time working at a desk and accessing a variety of systems. - Accuracy with attention to detail. - Ability to manage time and meet goals and deadlines. - Ability to work both independently and/or as part of a team in a fast-paced environment. - Strong analytical and problem-solving skills. - Well organized; ability to prioritize multiple projects and deadlines and be able to multi-task. - Ability to work under pressure. - Good customer service skills including sound sensitivity judgement and courteous phone manner. - High energy: productive work habits, flexible and adaptable to change. - Experience with computer programs Requirements - High School or equivalent - 2 – 4 years’ experience obtaining insurance verification and authorizations - 2 – 4 years’ experience with medical accounts receivable - Knowledge of medical coding and claims

Responsibilities

The Billing Specialist Agent manages financial aspects of patient care, including submitting insurance claims and processing payments. They are responsible for resolving denied claims, maintaining billing records, and assisting patients with invoices and payment plans.